Books I read in 2020

I went from reading multiple books a week to reading almost none. That's the way it was, with the first half of the year being essentially a prolonged break for me (interview season, quarantine) and the second half being work.

1. The Subtle Knife - Phillip Pullman (RR) - 5
2. The Amber Spyglass - Phillip Pullman (RR) - 5
3. The Life-Changing Magic of Tidying Up - Marie Kondo - 3
4. Sabriel - Garth Nix (RR) - 5
5. The Incendiaries - R.O. Kwon - 4
6. Sourdough - Robin Sloan  4
7. The Prince and the Dressmaker - Jen Wang - 5
8. A Mother's Reckoning - Sue Klebold - 5
9. Sea People: the Puzzle of Polynesia - Christina Thompson - 5
10. The Cabin at the End of the World - Paul Tremblay - 2
11. The Secret Commonwealth - Philip Pullman - 4
12. Wild: From Lost to Found on the Pacific Crest Trail - Cheryl Strayed - 3
13. Educated - Tara Westover - 5
14. Severance - Ling Ma - 4
15. Pretty Girls - Karin Slaughter - 5 ** look up content warnings
16. The Night Tiger - Yangsze Choo - 4
17. The Long Walk - Stephen King - 3
18. Where the Crawdads Sing - Delia Owens - 5
19. Dear Girls - Ali Wong - 4
20. The Familiars - Stacey Hall - 2
21. The Family Trust - Kathy Wang - 4
22. My Twenty-Five Years in Provence - Peter Mayle - 3
23. Upstream - Mary Oliver - 5
24. Sharp Objects - Gillian Flynn - 5
25. Dark Places - Gillian Flynn - 2
26. The Woman in the Window - AJ Finn - 3
27. In Real Life - Cory Doctorow, Jen Wang - 2
28. 172 Hours on the Moon - Johan Harstad (tr. Tara F. Chase) - 2
29. The Feather Thief - Kirk W. Johnson - 4
30. The Deep - Rivers Solomon, with Daveed Diggs, William Huston, Jonathan Snipes - 3
31. Ninth House - Leigh Bardugo - 5 ** look up content warnings
32. Jaws - Peter Benchley - 4
33. Trick Mirror - Jia Tolentino - 5
34. What Doctors Feel - Danielle Ofri, MD - 4
35. In the Heart of the Sea - Nathaniel Philbrick - 5
36. The Fork, the Witch, and the Worm - Christopher Paolini - 2
37. Wave - Sonali Deraniyagala
38. Wild Ones - Jon Mooallem - 3
39. Spin the Dawn - Elizabeth Lim - 3
40. The Unhoneymooners - Christina Lauren -  4
41. Pachinko - Min Jin Lee - 5
42. Minor Feelings - Cathy Park Hong - 4
43. The Miniaturist - Jessie Burton - 2
44. In a Dark, Dark Wood - Ruth Ware - 1
45. I'm Thinking of Ending Things - Iain Reed - 3
46. Homegoing - Yaa Gyasi - 5
47. The Plant Messiah - Carlos Magdalena - 5
48. The Overstory - Richard Powers - 4

I think this year was lot more about exploration, with a lot of homeruns and a lot of really awful books too. I don't have a lot to say about the books I felt meh about, but looking at my 5 star and highlights of the year, there's a couple of common threads:

- all were un-putdownable for me

- if non-fiction, involved some dark subject matter that was dissected in a very meticulous and compelling way - A Mother's Reckoning, In the Heart of the Sea, Educated

- if fiction, regardless of genre, involved intelligent and well-executed characters

-- if fantasy, expansive and logical and lush worldbuilding was a must - His Dark Materials, Sabriel, Ninth House

-- if thriller, the pacing was perfect - Pretty Girls, Sharp Objects

-- and rounding out the pack, interestingly Pachinko and Homegoing were both multi-generational family sagas surrounding race

I don't know if I have anything more to say about my year of increased recreational reading. I'm happy with how much I got to read in the beginning of the year, and how Goodreads had such a resurgence among the people that I knew from college and med school. I'm just nosy about what kind of things other people read.

My acne journey thus far, intrepid adventures in skincare, and using isolation as time to try out The Ordinary

When I first started medical school, I was hoping that at the end of it I would have a few answers to my questions:

1. Why was it that for several years in high school, I would become nauseated and have belly pains so bad I dreaded to go to class - every weekday, like clockwork, from 7 AM to 9 AM?

2. Why did I have acne, and what can I do to get rid of it?

The answer to the first question is probably that depression and anxiety can manifest as physical symptoms, particularly in young people. As for the second, I don't really know, but my skin has slowly, slowly improved.

Over the years, only three things have actually made a discernible difference in my skin: hormonal birth control, topical retinoids, and salicylic acid. I thought that coming off birth control would cause a rebound in my acne and asked my PCP to prescribe me spironolactone (I got an IUD, which does not provide the systemic androgen suppression that my combined estrogen and progesterone birth control did). Being the intrepid medical student that I was, I decided to see what my skin would do without hormonal birth control and without spironolactone, and to my surprise...it looked fine.

I've used a topical retinoid (Differin, available OTC) since college, and it's really the only thing that reliably keeps closed comedones away. Because of the prophylactic anti-aging benefits, I see no reason to stop using a topical retinoid, and my next adventure will be to see if I can get tretinoin prescribed for a lower cost than Differin (this could be a gamble, and I'm not sure if this will pan out.

All of this is to say my acne is actually, for the first time in my post-pubescent life, mostly gone. This great source of teen and young adult angst and self-confidence issues is...gone. By my standards, at least, since I know some people in my life with truly flawless skin. For some people, my skin with all its post-inflammatory hyperpigmentation, is the worst it could ever look for them. For me, it's the best it's looked in over a decade.

So why am I trying new skincare? Simply put, my goals are changing. I've locked into a routine that reliably keeps my acne at bay, but now I have PIH to tackle, and skin tone to even out. I want to prevent aging - and I would like to add I am a religious SPF user for years.

Before isolation, I bought a few items from The Ordinary, and also received some from a friend who was going to start Curology. With this unexpected windfall, I saw the opportunity to try a bunch of products, fuck up my skin, go back on my progress, and experiment. When the pandemic hit and it became clear I was going to spend my days at home, I decided to try these out.

So this is what I ended up doing:

AM: Niacinamide + Zinc, moisturizer, SPF
PM: cycling between Differin, Vitamin C, and Mandelic Acid; moisturizer

Preliminary thoughts are that I'm tolerating Niacinamide + Zinc after an initial breakout that resolved. The Argireline actually works, but now that the lines I was concerned about are gone, I stopped using it and am saving it for later. Jury is still out on the Vitamin C and the AHA, but again, because I started all of these around the same time, it's hard to say what did what, other than my skin does actually seem better. That's what before and after pics are for, after all.

Once I'm done with the Mandelic Acid, I'll start using my Lactic Acid in its place. I'll try out that AHA+BHA mask eventually. I'll do it slowly, and try to be meticulous about tracking how my skin reacts. It seems pretty contrary that I'm going from a relatively simple skincare routine to one that is more complex, with new products, but I'm doing so to address the reality that my skin has changed. The old problems have resolved, and now I can address the other things.

A review of the clothes I bought in 2019

The first half of this year was taken up by clinical rotations largely spent in a small capsule wardrobe of all the wards-appropriate clothes I own. June to November were spent in scrubs: one month of anesthesiology elective and four of orthopedic surgery rotations. Other than that, I've been schlepping around my apartment in loungewear and wearing the same three outfits to friends gatherings and dates just for fun. So, not much new added to the wardrobe this calendar year, but some key items like my black leather boots.

January to June

1. Frye black leather ankle boots - $112 - after years and years of thinking about buying black leather ankle boots, I finally did, and it was worth it. Is there more to say?
2. Red crop top - gift from roommate - birthday present from my roommate, who also wears crop tops in our mid-20s. It's pretty loud and bright for my skin tone, but I've found occasions to wear it out.
3. Black and white striped dress - secondhand, from roommate - cute little dress that I wore to many a summertime date. It was too short for my tall roommate, so she passed it along to me, and it fits me just right.

July to December

1. Leather saddle bag - vintage - $25 - I bought this purely on impulse when I was wandering around downtown Charlottesville. There is an abundance of cute vintage stores and could imagine myself living a cute life in that cute town. I even tried on a few dresses from the 1940s just for fun, chatted with the people working there, and definitely felt like I needed to buy something. So I did, and it barely fits my phone, wallet, keys, and small miscellany. But I got a lot of use out of this little bag and I'm glad I did buy it, even on impulse.
2. Asics running shoes - $60 - my old ones were wearing out badly, and I found a colorway I liked on discount on Amazon.
3. Muji green merino wool turtleneck sweater - $55 - actually, this was an impulse purchase, on sale. I've wanted a green turtleneck knit for a long time, and tried on all the ones offered by Uniqlo and Muji one day (they are very close to each other in Boston) and bought my favorite. I actually do feel guilty about this one because it was not well-planned.
4. ExOfficio underwear, 3 pairs - $28 - Black Friday deal. Am phasing out my shabby underwear and wanted to get some that were high quality, lightweight, and designed for handwashing and drying quickly.

Total 9 items

Total $280

My post-mortem of my 2019 purchases is that despite the relatively small number of items, some were poor decisions. The green sweater was an impulse purchase that stemmed directly from me wanting to dress my fantasy self, a more put-together, poised person than I actually am. The color drew me in! I tried on four different sweaters in that color at MUJI, but really, I don't think I needed it. The green blouse doesn't suit me at all, and now that I'll be mostly in scrubs, I don't need to have more blouses at all. I feel like I'm aging out of some of my clothes, and that I do need to reassess my wardrobe, but the unhealthy thought patterns and impulses are still there. I'll need to work on that.

I'm actually staying at my home program for residency, and staying in my apartment. I was kind of expecting to have to leave, and undergo a massive decluttering and cleanout of my belongings. Despite my staying put, that's a worthy endeavor and I'll use this quarantine time to do that.

By the way: I'm patting myself on the back for the underwear purchase since I now know I have another year of handwashing ahead of me!

A one-bag minimalist sprint for interview season

First of all, the itinerary:

• 1/9 AM - travel to NYC from by bus
• 1/9 PM - interview social for Hospital #1
• 1/10 PM - interview at Hospital #1
• 1/10 PM - travel to Boston by bus, sleep at home
• 1/11 AM - interview at Hospital #2
• 1/11 PM - interview social for Hospital #2, sleep at home
• 1/12 AM - travel to California by plane
• 1/12 PM - interview social for Hospital #3
• 1/13 AM - interview at Hospital #3
• 1/13 PM - travel to parents' house by car, sleep at home
• 1/14-15 - sleep at home
• 1/16 PM - travel to LA by plane
• 1/17 - Hospital #4 interview and interview social
• 1/18 AM - travel to NYC by plane
• 1/18 PM - interview social at Hospital #5
• 1/19 PM - interview at Hospital #5
• 1/20 AM - travel to ABQ by plane
• 1/21 PM - interview social for Hospital #6
• 1/22 AM - interview at Hospital #6
• 1/23 - sleep all day in ABQ
• 1/24 AM - travel to PHX by plane
• 1/24 PM - interview social for Hospital #7
• 1/25 AM - interview at Hospital #7
• 1/25 PM - red eye flight back to Boston

And now, what I packed:

• Suit
• Blouse
• Grey dress
• Black wool shirt
• Grey Uniqlo heat-tech shirt
• Grey t-shirt
• Black gym shorts
• Black tights
• Nude tights
• Heels
• Black ankle boots
• Navy blue Uniqlo ultra-light puffy jacket
• Watch
• Black Fossil handbag

...and necessaries like underwear, computer, Kindle, chargers, toiletries, chocolate. Surprisingly everything fit comfortably and the bag was always accepted for United Basic Economy, whose luggage restrictions are one single item that can fit under the seat in front. I am very proud of being able to make the trip with such lean, lightweight luggage. In fact, I think such a trip would have been bearable only with such little burden.

Why did I do this to begin with? Mostly to save money and save the hassle of keeping track of all my stuff, at the cost of having a perpetually wrinkled suit. Some of it was a challenge in seeing if I could do it, kind of prideful, I admit. The bottom line: I did it, and it was convenient. And now it's done. This two weeks of travel coincided with a nasty upper (eventually lower) respiratory infection for the same duration, complicated by sore throat and very diminished voice in the beginning.

And now it's done, and I get to rest and agonize over my future.

I wrote this post in February and it stewed in my drafts for all this time. I matched into orthopedic surgery! I'm going to be an orthopedic surgeon! I'll find out where on Friday, but for now, I'm just happy happy happy that I've fulfilled a dream of almost eight years. More coming soon!